| NPI | 1649343336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 034837-21) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 138817) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-08-10 |