| NPI | 1538194865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN236176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN236176) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MA MA236176) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-05-28 |