| NPI | 1780045377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2325118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172495) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2019-02-18 |