| NPI | 1780364323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12.012225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 91264) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-08-21 |