| NPI | 1730328477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 192480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 192480) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2015-10-22 |