| NPI | 1396202784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8102) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2024-03-26 |