| NPI | 1710024963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 091939-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2260002) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-11-29 |