| NPI | 1881819787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN275104) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN275104) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-03-14 |