| NPI | 1053611756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 07484923) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA rn2292007) |
| 363L00000X Nurse Practitioner (Licence: WA AP60573927) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2024-09-11 |