| NPI | 1083031389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 058450-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 05845023) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-06-23 |