| NPI | 1124179130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 046565-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304640) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-01-11 |