| NPI | 1497094411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2270163) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA 2270163) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2019-11-19 |