| NPI | 1659150233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12609) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CT 148464) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-11-21 |