| NPI | 1902848468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 03193823) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 127973) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 031938-23) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2021-01-07 |