| NPI | 1316597297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 11472) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 251826) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309445) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-06-04 |