| NPI | 1932393444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2304801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003664) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2019-07-02 |