| NPI | 1336697002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 7099) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 8968) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-08-03 |