| NPI | 1093298812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 075193-23) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN256760) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2022-11-30 |