| NPI | 1215369087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 074438-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2276784) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2020-11-23 |