| NPI | 1982900874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN284030) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN284030) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2019-08-30 |