| NPI | 1861932691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2297134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2297134) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-06-12 |