| NPI | 1558734327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6350) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 006350) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-09-23 |