| NPI | 1437581352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338146-1) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2021-02-01 |