| NPI | 1427573005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F342034-1) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2024-04-23 |