| NPI | 1467849331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2337170) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18680) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2020-02-20 |