| NPI | 1417557612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 091225-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN607106) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2024-08-14 |