| NPI | 1942722533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2282855) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2282855) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-04-01 |