| NPI | 1235548876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 005842) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: CT 109920) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CT 5842) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-05-26 |