| NPI | 1083191902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 102276) |
| 363L00000X Nurse Practitioner (Licence: CT 7739) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-11-09 |