| NPI | 1457949000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 0000000000) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12.009459) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-01-16 |