| NPI | 1578112025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 063931-23) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 063931-23) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2021-10-19 |