| NPI | 1831557669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 037046-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 206875) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2019-11-15 |