| NPI | 1487942785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN236874) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 236874) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2016-11-10 |