| NPI | 1194956185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN280865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN280865) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2016-12-01 |