| NPI | 1275196271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 090591-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2266288) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-06-05 |