| NPI | 1215564026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9042) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 112428) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9042) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-09-15 |