| NPI | 1053078386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F348311) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-10-19 |