| NPI | 1598739328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 002976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E55230) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2021-10-18 |