| NPI | 1407749351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 14914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 14914) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-07-16 |