| NPI | 1316547714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 073671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9308) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-12-21 |