| NPI | 1609428721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 8408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 107221) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-08-22 |