| NPI | 1235205683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT APRN003518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT RN0080085) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-05-17 |