| NPI | 1871552000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN238658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0094743) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 2306) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704298450) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 10533) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2017-12-15 |