| NPI | 1467514661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN267156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F333575-1) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-04-16 |