| NPI | 1144838772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10785) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 829999) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-12-14 |