| NPI | 1043517485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 074826-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2264394) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2020-09-15 |