| NPI | 1497292288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 751002) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 15321) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 3220551) | |
| 163W00000X Registered Nurse (Licence: CT 175865) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2025-12-11 |