| NPI | 1083480370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 14975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 822327) |
| 163W00000X Registered Nurse (Licence: CT 181294) | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2025-10-01 |