| NPI | 1174719405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002743) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 065534) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2012-01-19 |