| NPI | 1427610534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.008274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.127707) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2025-03-25 |