| NPI | 1326772518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 13537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 152412) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-07-26 |