| NPI | 1386317550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 9818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E52898) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-08-22 |