| NPI | 1275825317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305665-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 001936) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2020-07-20 |