| NPI | 1932833670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 067741-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 067741-21) |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2022-07-15 |