| NPI | 1598263774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 086105-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0196365) |
| 363LF0000X Nurse Practitioner Family (Licence: NH EL07341) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-09-28 |