| NPI | 1982036877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN27705) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 363L00000X) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2017-05-12 |