| NPI | 1245624378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 13908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682309) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F355247) | |
| 163W00000X Registered Nurse (Licence: CT 145915) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-09-19 |