| NPI | 1255669503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN147089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 147089) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2022-04-12 |