| NPI | 1205800661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 230688) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 066076-23) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-02-01 |