| NPI | 1144706631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 7684) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 7684) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-10-06 |