| NPI | 1497344055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 068368-23) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NH 068368-21) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-05-02 |