| NPI | 1740662089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 067079-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 277688) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-07-21 |