| NPI | 1992370241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202104629NP-PP) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-09-18 |