| NPI | 1144324229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 1184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 03-274181) |
| 363L00000X Nurse Practitioner (Licence: CT 001184) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2021-06-22 |