| NPI | 1720851553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 1720851553) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NH 077099-21) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-02-22 |