| NPI | 1154040541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 248635) |
| 163W00000X Registered Nurse (Licence: CT 189174) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-08-02 |