| NPI | 1255880753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2312500) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: NY 22658687) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: MA RN2312500) | |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2018-04-10 |