| NPI | 1932694189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342730) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2021-09-30 |