| NPI | 1801012968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN228941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 076422-23) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2017-09-25 |