| NPI | 1063983690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2313871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 042820-23) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2019-08-07 |