| NPI | 1265814719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6094) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-12-15 |