| NPI | 1730481995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 260259) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 055080-23) |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2013-08-16 |