| NPI | 1770186025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 10184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 99754) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2022-01-19 |