| NPI | 1518651280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 207717) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-01-22 |