| NPI | 1255701447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN274439) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 073081-23) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2023-01-31 |