| NPI | 1174598536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E53233) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 001441) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |