| NPI | 1760634943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 074634-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 274092) |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2019-02-11 |