| NPI | 1487713947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 003468) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003468) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-05-16 |