| NPI | 1942501473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 8135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 578574-1) |
| 163W00000X Registered Nurse (Licence: CT 089130) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY F343366-1) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2024-04-30 |