| NPI | 1891334330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2312086) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA RN2312086) |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2020-04-30 |