| NPI | 1780998765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN268284) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN268284) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2014-08-26 |