| NPI | 1255854931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 010200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN285396) |
| 363L00000X Nurse Practitioner (Licence: CT 010200) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-09-20 |