| NPI | 1114326311 |
|---|---|
| Former Name | PENNY AUDET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5861) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: CT 5861) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-09-11 |