| NPI | 1073769642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 063548-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 268839) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2024-01-25 |