| NPI | 1922610187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 14625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 834723) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11008630) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2026-06-22 |