| NPI | 1285182402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6667) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6667) |
| 363L00000X Nurse Practitioner (Licence: CT 6667) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2022-11-18 |