| NPI | 1922403542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 007744) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 087663) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA 284722) | |
| 163WG0000X Registered Nurse, General Practice (Licence: NY 679700-1) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2020-06-24 |