| NPI | 1104353309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MA RN179892) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN179892) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-10-02 |