| NPI | 1770966921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 1770966921) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 6334) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-05-31 |