| NPI | 1497065791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN171004) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: MA RN171004) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2017-03-06 |