| NPI | 1114924172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 002572) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002572) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2023-03-07 |