| NPI | 1013891548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15183) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 171943) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |