| NPI | 1457960338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9833) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 127749) |
| 163WE0003X Registered Nurse, Emergency (Licence: CT 127749) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-06-06 |