| NPI | 1598417537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 10334) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311719) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2024-04-04 |