| NPI | 1518339340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN254091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 067143-23) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2019-10-18 |