| NPI | 1841808839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12.009056) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309933) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01108600) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2025-11-10 |