| NPI | 1730433970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: NH 066954-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 066954-21) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 066954-23) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-03-01 |