| NPI | 1023720141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 13174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2340810) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2024-07-08 |