| NPI | 1396071619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 050594-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 50594-23) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2024-02-26 |