| NPI | 1750857330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10130) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343741-1) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2022-07-19 |