| NPI | 1184656647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CT 002324) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002324) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-01-31 |