| NPI | 1932419272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 6773) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336507) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-05-12 |