| NPI | 1750733630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064410-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 064410-21) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-29 |