| NPI | 1336336874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN214622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 214622) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2017-09-05 |