| NPI | 1922991462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 14850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 014850) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-23 |