| NPI | 1619484573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 063763-23) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA RN2267448) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-05-08 |