| NPI | 1154702702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339567) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2022-07-19 |