| NPI | 1912677873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 085642-23) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 12841) |
| 163W00000X Registered Nurse (Licence: CT 085642-21) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-11-26 |