| NPI | 1194393876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 12.009674) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CT 12.009674) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |