| NPI | 1649396623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 072480-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN253767) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-10-06 |