| NPI | 1316116049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002574) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: CT 002574) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2014-06-09 |