| NPI | 1669064218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 084237-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 084237-21) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-25 |