| NPI | 1023734977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F350449-01) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-04-25 |