| NPI | 1659980670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.009813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 79074) |
| 163W00000X Registered Nurse (Licence: NY 503718) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 349633) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-12-27 |