| NPI | 1033761283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 071365-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2299115) |
| 163W00000X Registered Nurse (Licence: NH 071365-21) | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-11-19 |