| NPI | 1417329186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6332) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CT 6332) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-05-23 |