| NPI | 1205727914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 15332) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 172873) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2026-04-06 |