| NPI | 1235187840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN190560) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 190560) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-03-22 |