| NPI | 1275575342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN177561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 8161) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-01-30 |