| NPI | 1467810671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2291210) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA RN2291210) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2291210) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-11-17 |