| NPI | 1124507488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 064208-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 064208-23) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2023-11-16 |