| NPI | 1720299779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN213855) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 3282) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-10-30 |