| NPI | 1740444280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2269482) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f304888-1) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2013-11-05 |