| NPI | 1316376114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5639) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 5639) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2019-01-22 |