| NPI | 1427765791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 11351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 201444) |
| 163W00000X Registered Nurse (Licence: VT 026.0140119) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-01-10 |