| NPI | 1033572813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340248-1) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-01-25 |