| NPI | 1295220036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 082101-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R198130) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 82101-23) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-10-01 |