| NPI | 1750057600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059310-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 059310-21) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-09-01 |