| NPI | 1518206093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2292713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22758) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2015-01-07 |