| NPI | 1477953404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN276202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 067559-23) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2019-10-10 |