| NPI | 1447503081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN283382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN283382) |
| 363L00000X Nurse Practitioner (Licence: RI APRN01645) | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2021-06-22 |