| NPI | 1609532720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 080401-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 080401-21) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-06-30 |