| NPI | 1619308475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 1118) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2023-11-30 |