| NPI | 1316940190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302513-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002016) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-10-16 |