| NPI | 1891315081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345682) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-03-22 |