| NPI | 1245240068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 234418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI npp37309) |
| 207X00000X Orthopaedic Surgery (Licence: MA RN234418) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-02-16 |