| NPI | 1437456068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630515-1) |
| 163W00000X Registered Nurse (Licence: CT 193733) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343231) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2024-10-08 |