| NPI | 1124798400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 12198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 143291) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2023-08-06 |