| NPI | 1609260207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 069639-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338810) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2304262) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-10-06 |