| NPI | 1720279318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 004891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 4891) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2023-02-23 |