| NPI | 1568161768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 272917) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 11684) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-09-13 |