| NPI | 1467037853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 9723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 143465) |
| 163WG0000X Registered Nurse, General Practice (Licence: CT 143465) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9723) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-07-01 |