| NPI | 1639604226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340555) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-02-27 |