| NPI | 1700234952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298452) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2298452) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2298452) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-06-11 |