| NPI | 1295904225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 2465) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT r47926) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CT 002465) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002465) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 002465) | |
| Enumeration Date | 2008-02-24 |
| Last Update Date | 2023-08-28 |