| NPI | 1306319413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8069) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8069) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT AG01190045) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2021-05-27 |