| NPI | 1225259146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003710) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA VP005288B) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2009-01-12 |