| NPI | 1720303464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F335886-1) |
| 363L00000X Nurse Practitioner (Licence: CT 4914) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2023-04-20 |