| NPI | 1770079998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 078725-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23892) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-01-24 |