| NPI | 1275143778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 11977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ F08200198) |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2023-07-20 |