| NPI | 1164289328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 14275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031496) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-01-07 |