| NPI | 1073386686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT F04240817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 151741) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT F04240817) | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-03-05 |