| NPI | 1679250054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12200) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 183744) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-08-07 |