| NPI | 1275028896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 14883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342661) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-09-17 |