| NPI | 1013680990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 009861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 079382) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-09-20 |