| NPI | 1104247873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5550) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005550) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2023-03-13 |