| NPI | 1992358576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2259797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2259797) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN2259797) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA F10190728) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-07-11 |