| NPI | 1487880217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 4137) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 004137) |
| 163W00000X Registered Nurse (Licence: CT 081988) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2026-03-10 |