| NPI | 1386044907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2335943) |
| Additional Taxonomies | 101Y00000X Counselor |
| 208000000X Pediatrics (Licence: MA RN2335943) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-04-03 |