| NPI | 1407674898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 17211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353175) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2026-07-09 |