| NPI | 1427429265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8270) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307447-1) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2021-09-23 |