| NPI | 1790310357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 069749-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP021616) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 069749-23) | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2024-03-29 |