| NPI | 1073012654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 066511-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 066511-23) |
| 363L00000X Nurse Practitioner (Licence: NH F01180864) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-27 |