| NPI | 1821393018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 055837-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN264965) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2023-08-07 |