| NPI | 1841684206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2305965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657492) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2016-05-19 |