| NPI | 1649805292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 062716-23) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 062716-23) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2022-07-29 |