| NPI | 1114233509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 632377-1) |
| 163WG0000X Registered Nurse, General Practice (Licence: CT 96115) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2019-06-14 |