| NPI | 1831986710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 14731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4061264) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 14731) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 14731) | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2026-07-17 |