| NPI | 1649822958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 076746-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN275865) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-07-10 |