| NPI | 1750563938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA A0807185) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN250925) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2024-10-30 |