| NPI | 1780931535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 056198-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN255783) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2020-06-09 |