| NPI | 1730670795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2273385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA Rn2273385) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2020-11-24 |