| NPI | 1528291903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MA 260340) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA A0808297) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2018-01-19 |