| NPI | 1285975722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.107975) |
| 163W00000X Registered Nurse (Licence: NY 658146) | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2022-07-08 |