| NPI | 1114659968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 081334-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 081334-21) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-08-06 |