| NPI | 1578982997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2282856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338665) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2015-01-08 |