| NPI | 1487447009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15062) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 195772) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-07-14 |