| NPI | 1457546657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA MP06906831) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MA 260795) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-09-14 |