| NPI | 1326494584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2307391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2307391) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2018-02-08 |