| NPI | 1629558960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 085649-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2311277) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-09-13 |