| NPI | 1467990085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 081555-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN282048) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN282048) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2022-08-09 |