| NPI | 1447982103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 10736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 138856) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-08-16 |