| NPI | 1861002701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 2020015527) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 2020015527) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-09-04 |