| NPI | 1063990612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CT 7799) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CT 136714) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2023-02-13 |