| NPI | 1437508264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6601) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT F0516364) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2017-08-08 |