| NPI | 1497719124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 182071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 182071) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2017-03-21 |