| NPI | 1770201089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 130060) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-06-27 |