| NPI | 1720559438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 12365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 131378) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2023-10-20 |