| NPI | 1891338398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.008572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 104565) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-31 |