| NPI | 1295943439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335154) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2022-01-27 |