| NPI | 1972767135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN237734) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 213) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-04-20 |