| NPI | 1962700526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN280376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN280376) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2015-10-22 |