| NPI | 1265040208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 009060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 157400) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-08-02 |