| NPI | 1922606086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 9104) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 9104) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 9104) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2025-03-04 |