| NPI | 1881238830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 241338) |
| Additional Taxonomies | 163WH1000X Registered Nurse Hospice (Licence: MA 241338) |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2020-03-31 |