| NPI | 1851822050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2279998) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6974) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2019-11-08 |