| NPI | 1215233853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 004579) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004579) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2020-05-19 |