| NPI | 1841785078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 069671-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 069671-21) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-08-10 |