| NPI | 1336397934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN272503) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN272503) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN272503) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2016-11-10 |