| NPI | 1568076818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 073860-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH F02210912) |
| 163W00000X Registered Nurse (Licence: NH 073860-21) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-11-07 |