| NPI | 1730581893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 13044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682463) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F353717-01) | |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2025-07-29 |