| NPI | 1477837516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: NH 065266-23) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 065266-23) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 065266-23) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2021-03-15 |