| NPI | 1306238126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 9422) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NY 574086) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2021-02-02 |