| NPI | 1285164293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 007220) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: CT 11039859) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-08-10 |