| NPI | 1366892341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F06161316) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2017-06-06 |