| NPI | 1972597599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN213404) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 213404) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2024-03-25 |