| NPI | 1033834353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12384) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 350535) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-10-19 |