| NPI | 1447666375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2276920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN262465) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2018-04-27 |