| NPI | 1073756821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 040723-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN225861) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-11-08 |