| NPI | 1891342861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 06548423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 065484-23) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2022-12-19 |