| NPI | 1073892170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2271244) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336690) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2014-03-05 |