| NPI | 1700804044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 452) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 000566) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-12-10 |