| NPI | 1316323553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2267899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2267899) |
| 363LF0000X Nurse Practitioner Family (Licence: MA 2267899) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2019-09-26 |