| NPI | 1417557612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 091225-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN607106) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-08-22 |