| NPI | 1376354142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 22406271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 14015) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-02-04 |