| NPI | 1962224840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 14460) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CT 94131) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2025-06-18 |