| NPI | 1780659268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN176603) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN176603) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 176603) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00285) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2024-05-13 |