| NPI | 1033635388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA F07191506) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2299048) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2019-09-23 |