| NPI | 1972875615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2282963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337097) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2013-02-12 |