| NPI | 1013765049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 13058) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CT 16144) |
| 163W00000X Registered Nurse (Licence: CT 144242) | |
| 163W00000X Registered Nurse (Licence: ME RN84461) | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |