| NPI | 1629630934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2371048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 080824-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 080284-23) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-02-01 |