| NPI | 1962877662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA rn281011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 281011) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2017-01-18 |