| NPI | 1578271078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 010593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10593) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-06-05 |