| NPI | 1952897233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 136553) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-08-15 |