| NPI | 1730910431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 223214) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 13674) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |