| NPI | 1033490461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 8836) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 7956638-4405) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: UT 7956638-4405) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2020-09-21 |