| NPI | 1255566279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2259257) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 826) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-11-17 |