| NPI | 1184312506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 111611) |
| 363L00000X Nurse Practitioner (Licence: CT 12056) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-05-07 |