| NPI | 1235374836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN267639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 267639) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2023-01-17 |