| NPI | 1366215949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 143065) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 013340) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-07-15 |