| NPI | 1356739361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006003) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 006003) |
| Enumeration Date | 2014-12-27 |
| Last Update Date | 2015-11-18 |