| NPI | 1386279404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 071631-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 071631-21) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-12-14 |