| NPI | 1821571886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 069915-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 069915-21) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-15 |