| NPI | 1891030243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN258791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN258791) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2016-12-13 |