| NPI | 1215661889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 080688-23) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 080688-21) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-08-05 |