| NPI | 1619867132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 15066) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 233597) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-22 |