| NPI | 1699255539 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 057371-23) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 057371-23) | 
| Enumeration Date | 2018-08-20 | 
| Last Update Date | 2021-04-16 |