| NPI | 1811400542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 7259) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner School (Licence: CT 7259) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2024-02-15 |