| NPI | 1275867566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN279913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN279913) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2023-05-30 |