| NPI | 1346899960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 8479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8479) |
| 363L00000X Nurse Practitioner (Licence: CT 8479) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-10-08 |