| NPI | 1083958441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 107839) |
| 207Q00000X Family Medicine (Licence: CT 6756) | |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2025-05-08 |