| NPI | 1386201317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343910-1) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2021-05-10 |