| NPI | 1780995050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 4390) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: CT 88194) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 4390) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-11-14 |