| NPI | 1154504736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334904) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2023-03-07 |