| NPI | 1336704857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15033) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9414396) |
| 363L00000X Nurse Practitioner (Licence: FL 9414396) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2026-03-27 |