| NPI | 1528330701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider (Licence: MA 251788) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN251788) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2014-03-21 |