| NPI | 1932258837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN240608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 080312-23) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-12-22 |