| NPI | 1285967968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN200920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 042727-23) |
| 163W00000X Registered Nurse (Licence: MA RN200920) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2016-03-11 |