| NPI | 1366848418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 120652) |
| 163W00000X Registered Nurse (Licence: NY 686434) | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2024-01-18 |