| NPI | 1871794271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 001291) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 116604-23) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2026-03-31 |