| NPI | 1659442994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN237178) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 237178) |
| 163WC1500X Registered Nurse, Community Health (Licence: MA 237178) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-10-22 |