| NPI | 1225132707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 3184) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 3184) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003184) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2025-09-04 |