| NPI | 1326771874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 594536) |
| 163W00000X Registered Nurse (Licence: CT 177501) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-12-19 |