| NPI | 1326472002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 5463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 005463) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CT 5463) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2024-06-11 |