| NPI | 1669591665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN168886) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA 168886) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 168886) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-08-22 |