| NPI | 1932051869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 17489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 23073395) |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-08-19 |