| NPI | 1164772885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA RN2307858) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2307858) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2307858) | |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: MA RN2307858) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2020-02-24 |