| NPI | 1225326077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 018677-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3242252) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3242252) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2021-02-01 |