| NPI | 1427659069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2304761) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2022-03-23 |