| NPI | 1558529974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 062666-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 281747) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-07-15 |