| NPI | 1588653596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 002975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002975) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2023-01-10 |