| NPI | 1023266293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R232709) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003869) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003869) | |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2019-06-04 |