| NPI | 1326351032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 110189) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336403) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2025-02-18 |