| NPI | 1174307169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 13708) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 10665) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-10-18 |