| NPI | 1558901991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 093014-23) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2306772) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306772) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-03-04 |