| NPI | 1306985783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 080033-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 080033-23) |
| 363L00000X Nurse Practitioner (Licence: MA 229133) | |
| 363LS0200X Nurse Practitioner, School (Licence: MA 229133) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-01-17 |