| NPI | 1407270689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2014009231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2284339) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2018-11-07 |