| NPI | 1316415938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2328785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2328785) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2021-09-14 |