| NPI | 1295273803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2293873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2293873) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2018-11-30 |