| NPI | 1588744601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA NP259254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 259254) |
| 163WX0200X Registered Nurse, Oncology (Licence: MA 259254) | |
| 363L00000X Nurse Practitioner (Licence: MA 259254) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA NP259254) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-11-30 |