| NPI | 1285186288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6797) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 12.006797) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2023-03-21 |