| NPI | 1164584785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 035757-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 168256) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-07-17 |