| NPI | 1881248136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2321694) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-11-18 |