| NPI | 1407870785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN133482) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MA 133482) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-01-30 |