| NPI | 1578235578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-4363) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12.010066) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-07-10 |