| NPI | 1194194126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN188705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 072593-23) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |