| NPI | 1982272084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10226) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CT 74106) |
| 163W00000X Registered Nurse (Licence: CT 74106) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-01-04 |