| NPI | 1215990742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 003288) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003288) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 003288) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2013-01-17 |