| NPI | 1952051120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2286972) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-12-15 |