| NPI | 1275137531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9415) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT AG11200064) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2021-07-26 |