| NPI | 1265931331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA F10181512) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2282987) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-11-05 |