| NPI | 1245531771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004550) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2021-06-25 |