| NPI | 1023531571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 61888) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-10-23 |