| NPI | 1275186041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN276252) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN276252) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-04-23 |