| NPI | 1750723920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064067-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2310949) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2021-04-01 |