| NPI | 1003141706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335939) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2018-02-28 |