| NPI | 1245727437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 15301) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: NY 312042) |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: CT 10.157925) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY F312159) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-09-05 |