| NPI | 1720874662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 074529-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 074529-21) |
| 163W00000X Registered Nurse (Licence: MA RN2310392) | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-05-08 |