| NPI | 1659723286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 066929-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 074094-23) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-10-03 |