| NPI | 1073822797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 251009) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R164675) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2016-11-21 |