| NPI | 1265689855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 3863) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 003863) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003863) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01292) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2025-03-10 |