| NPI | 1316406655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 11419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2280403) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2023-08-16 |