| NPI | 1871776849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167116) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2011-08-19 |