| NPI | 1457961062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 9954) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 309638) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2022-06-22 |