| NPI | 1992312607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2272788) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2272788) |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2021-04-08 |