| NPI | 1982150850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2303104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2303104) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2020-02-13 |