| NPI | 1982032173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 066808-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 066808-23) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2022-09-19 |