| NPI | 1720428949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 005364) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2021-08-13 |