| NPI | 1447994207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.11040) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CT 155890) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-01-18 |