| NPI | 1194101907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2272948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272948) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-01-19 |