| NPI | 1265197750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 10193) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 10193) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 10193) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 10193) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CT 10193) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CT 10193) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10193) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 10193) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 10193) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10193) | |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: CT 10193) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 10193) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 10193) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 10193) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-03-14 |