| NPI | 1588928808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2268732) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2268732) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2268732) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2020-11-05 |