| NPI | 1821578584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2312742) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 2312742) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-03-02 |