| NPI | 1083443881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 13765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 211830) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 354196) | |
| 163W00000X Registered Nurse (Licence: NY 856778) | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-10-09 |