| NPI | 1568955342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH F03170193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 033861-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 158232) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-16 |