| NPI | 1801382825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343256) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-10-17 |