| NPI | 1649615154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2277802) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA Rn2277802) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2277802) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2015-06-30 |