| NPI | 1295017143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2283926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339117) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2017-01-19 |