| NPI | 1144920646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 083495-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 083495-21) |
| 163W00000X Registered Nurse (Licence: MA RN2345868) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-04-05 |