| NPI | 1992751192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN164901) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 164901) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-01-06 |