| NPI | 1447019252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 12954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 34850) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-19 |