| NPI | 1508267345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 072653-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2295985) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2017-02-24 |