| NPI | 1922824622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15234) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CT 089346) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-10-06 |