| NPI | 1235687658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 075370-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2291120) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-04-04 |