| NPI | 1518373752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2276831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 084648-23) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2021-05-29 |