| NPI | 1366884777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: MA RN255078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN255078) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |