| NPI | 1689073017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 065924-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2292917) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2023-10-17 |