NPI | 1457009847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 078114-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH F02220370) |
Enumeration Date | 2022-03-14 |
Last Update Date | 2022-07-19 |