| NPI | 1356813398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 233878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F10180968) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2019-03-11 |