| NPI | 1326415415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 9133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 669984-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2020-09-01 |