| NPI | 1245729763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA 276933) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA 276933) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |