| NPI | 1083220362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 009187) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9187) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-03-17 |