| NPI | 1780082180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2322504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339291) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2020-05-12 |