| NPI | 1871102202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310474) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 9052) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2024-11-12 |