| NPI | 1528537172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176629) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2024-03-06 |