| NPI | 1770954109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 11071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 006175) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2022-11-07 |