| NPI | 1669882593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2284879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2284879) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2015-03-06 |