| NPI | 1346760253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 11247) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 11247) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-01-13 |