| NPI | 1932667441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2312232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2312232) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-08-20 |