| NPI | 1306349394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 12057) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-11-05 |