| NPI | 1982875902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 269503) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 269503) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2012-09-25 |