| NPI | 1811565237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9722) |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2022-01-27 |