| NPI | 1427605377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 076899-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2279627) |
| 363L00000X Nurse Practitioner (Licence: NH 076899-23) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-10-19 |