| NPI | 1588093355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2285746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2285746) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2019-05-28 |