| NPI | 1396342051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 8945) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CT 8945) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8945) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 8945) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2021-02-09 |