| NPI | 1245211721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 000521) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 03-668583) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 03-668583) | |
| 363L00000X Nurse Practitioner (Licence: CT 521) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-05-16 |