| NPI | 1770215279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 11124) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CT 97560) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11124) | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-03-13 |