| NPI | 1669101259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10676) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CT 143524) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2023-03-03 |