| NPI | 1730932898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064879-23) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NH 064879-23) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-16 |