| NPI | 1265023071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 086972) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-03-26 |