| NPI | 1699255141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7997) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2279146) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2023-11-17 |