| NPI | 1528194172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN258696) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 258696) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-04-25 |