| NPI | 1942829015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 8952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153490) |
| 163W00000X Registered Nurse (Licence: MA RN2351869) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2351869) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-11-20 |