| NPI | 1669613337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN197766) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MA 197766) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 197766) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2023-09-25 |