| NPI | 1861583320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN213374) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 213374) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-03-15 |