| NPI | 1972114619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.009288) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CT 112138) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2021-01-26 |