| NPI | 1366441628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 001732) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 001732) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-09-26 |