| NPI | 1639694896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 099776-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 099776-21) |
| 163W00000X Registered Nurse (Licence: PA SP020910) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA 0024175123) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2024-09-13 |