| NPI | 1528268661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 283061) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: RI 01613) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI 01613) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-10-25 |