| NPI | 1174379200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 13831) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WE0003X Registered Nurse, Emergency (Licence: CT 100498) | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-10-04 |