| NPI | 1831710144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 9185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 124353) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-02-22 |