| NPI | 1790919918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN267634) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 087892-23) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 267634) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2023-10-13 |