| NPI | 1518341205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 12435) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2289194) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-12-11 |