| NPI | 1528680683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.008959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.171702) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-04-03 |