| NPI | 1932650371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 6767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 006767) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2026-10-02 |