| NPI | 1346988979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 083979-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NH 083979-23) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NH 083979-23) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-12-27 |