| NPI | 1972236123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 068952) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-02-23 |