| NPI | 1417650995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 061336-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 061336-21) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-10-07 |