| NPI | 1902553076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 010438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10438) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2026-01-06 |