| NPI | 1366795767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 058783-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 277087) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-06-30 |