| NPI | 1356207419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 15397) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 184608) |
| Enumeration Date | 2026-01-01 |
| Last Update Date | 2026-04-07 |