| NPI | 1922429471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059823-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN282001) |
| 163W00000X Registered Nurse (Licence: NH 059823-21) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN282001) | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2021-01-24 |