| NPI | 1548695885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2281487) |
| Additional Taxonomies | 163WX0601X Registered Nurse Otorhinolaryngology & Head-Neck (Licence: MA RN2281487) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-12 |