| NPI | 1154828655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 110012-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2295088) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2295088) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-07-25 |