| NPI | 1861010811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 145723) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2026-05-04 |