| NPI | 1225616840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: CT 12.009628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.116709) |
| 363L00000X Nurse Practitioner (Licence: CT 9628) | |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2022-08-15 |