| NPI | 1467006858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN232362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8614) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2021-07-29 |