| NPI | 1801149737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2270617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337634) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2021-08-30 |