| NPI | 1508035247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA MA278837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 278837) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2015-01-08 |