| NPI | 1255744959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 070275-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 14111350) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-12-03 |