| NPI | 1942500509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN214570) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MA RN214570) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2011-02-07 |