| NPI | 1275671257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 176839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 176839) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-02-21 |