| NPI | 1225492507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 006504) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 006504) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 006504) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-08-18 |