| NPI | 1477051696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 011178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2262129) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-02-07 |