| NPI | 1720586779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2314004) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 000000) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2019-07-25 |