| NPI | 1841832391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 8596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 147866) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-05-01 |