| NPI | 1629048418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 001227) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arn9433697) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2024-05-10 |