| NPI | 1811768096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 14928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 162443) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2025-06-18 |