| NPI | 1396350237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2328945) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 9809) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2021-08-25 |