| NPI | 1659734127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2294312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 073264) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |