| NPI | 1285716183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN254150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003170) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-05-20 |