| NPI | 1861808354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 085659-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN263997) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-04-06 |