| NPI | 1013469394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 093001) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CT 093001) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |