| NPI | 1750835302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04691) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2278729) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2025-10-09 |