| NPI | 1790243921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 010427) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2018057880) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-02-18 |