| NPI | 1982751228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA 130721) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA ma130721) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-04-03 |