| NPI | 1457161663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 14017) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 14017) |
| 163WG0000X Registered Nurse General Practice (Licence: CT 14017) | |
| 208D00000X General Practice (Licence: CT 14017) | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-20 |