| NPI | 1255651675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004485) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004485) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2013-05-01 |