| NPI | 1386716694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f333594-1) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-09-13 |