| NPI | 1871093757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 007476) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 007476) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2026-06-12 |