| NPI | 1942010491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH F10241130) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NH 085974-21) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN2369630) | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |