| NPI | 1225487838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340513) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-07-02 |