| NPI | 1881454353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.015220) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CT 10.106670) |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: CT 10.106670) | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-12-24 |