| NPI | 1285606947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 000431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT R42904) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2012-06-26 |