| NPI | 1821451550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9429092) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-09-23 |