| NPI | 1356343099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 000762) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01591) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308172) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 000762) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-09-11 |