| NPI | 1538246582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA 129286) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 129286) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-11-04 |