| NPI | 1598319980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8318) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12.008318) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-10-01 |