| NPI | 1144729344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2272611) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MA RN2272611) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309093) | |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2021-03-17 |