| NPI | 1922708551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11748) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CT E58121) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2025-09-08 |