| NPI | 1174196182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 081692-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337492) |
| 163W00000X Registered Nurse (Licence: NH 081692-21) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-11-14 |