| NPI | 1841902111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 090231-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2347651) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-11-15 |