| NPI | 1861720211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 068085-23) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CT 74629) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 4259) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 068085-23) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 4259) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2022-08-22 |