| NPI | 1790256469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 084620-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2290948) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R211101) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2025-06-24 |