| NPI | 1033494380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN262326) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN/NP262326) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2020-11-09 |