| NPI | 1063031730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 9009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153082) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2022-12-14 |