| NPI | 1144758103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2273617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 066723-23) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2018-03-17 |