| NPI | 1760623185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.006470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33335747) |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2026-02-13 |