| NPI | 1083125074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7291) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 7291) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2022-06-24 |