| NPI | 1881077972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2270516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2270516) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-09-24 |