| NPI | 1962955021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 6573) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6573) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CT 6573) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6573) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2023-12-15 |