| NPI | 1548677685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 072820-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2276821) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-01-27 |