| NPI | 1801405840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 12.009156) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CT 128767) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-11-23 |