| NPI | 1992438303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 079719-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 079719-21) |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2024-04-09 |