| NPI | 1205322609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 065145-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 065145-21) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-08-19 |