| NPI | 1659617207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2274129) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA 2274129) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2021-09-30 |