| NPI | 1306456116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9160) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 98702) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 9160) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2024-02-21 |