| NPI | 1760789697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 652769) |
| 163W00000X Registered Nurse (Licence: CT 180076) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 294659-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 347250) | |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2023-07-20 |