| NPI | 1932287893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7023) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 191964) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2010026851) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-07-15 |