| NPI | 1790206522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 062759-23) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NH 062759-21) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2017-09-14 |