| NPI | 1982452330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 13542) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 176349) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-08-08 |