| NPI | 1982011003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2281788) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MA RN2281788) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2281788) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |