| NPI | 1851846687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2263294) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2263294) |
| 363L00000X Nurse Practitioner (Licence: MA RN2263294) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2018-10-08 |