| NPI | 1225583214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 006676) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 6676) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2021-11-30 |