| NPI | 1114393865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2276703) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 065733-21) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-01-03 |