| NPI | 1780166413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN253915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 054839-23) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-09-12 |