| NPI | 1871801605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336436) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-05-26 |