| NPI | 1003396979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 13588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 493883) |
| 163W00000X Registered Nurse (Licence: CT 223395) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343522) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-10-16 |