| NPI | 1154655751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 4148) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 4148) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2022-08-22 |