| NPI | 1346375219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12765) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 2879292) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3015904) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-03-05 |