| NPI | 1538610126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2290602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2290602) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2019-08-08 |