| NPI | 1760822639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN212599) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA RN212599) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-11-01 |