| NPI | 1720610611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 066745-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 066745-21) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-03-04 |