| NPI | 1184100745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 14176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343174) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2025-01-07 |