| NPI | 1437884087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 142873) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-10-24 |