| NPI | 1770028870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 064552-23) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 064552-23) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2024-03-11 |