| NPI | 1851817522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 042354-23) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 042354-23) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-12-26 |