| NPI | 1114397684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 006449) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2019-10-18 |