| NPI | 1881724110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 003371) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304189) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-03-07 |