| NPI | 1871528414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA rn186443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 186443) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-06-02 |