| NPI | 1093944738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 084105-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN255782) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN255782) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-06-07 |