| NPI | 1427442516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH APRN074906-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN207909) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-01-17 |