| NPI | 1215368766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 08211323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN279939) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2022-01-21 |