| NPI | 1720570229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2313159) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA 2313159) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2019-11-19 |