| NPI | 1285103036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2300245) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2300245) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2300245) | |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2019-02-20 |