| NPI | 1033698386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2284074) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2284074) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-03-13 |