| NPI | 1730661224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2294333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH CNP201457) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 070153-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201457) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2023-11-22 |