| NPI | 1730518648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 080921-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA rn265622) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2019-10-28 |