| NPI | 1184893521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 003782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 003782) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2022-09-14 |