| NPI | 1184933657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059270-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN28049) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2022-09-04 |