| NPI | 1033578208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006372) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 093622) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2018-10-26 |