| NPI | 1356772107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 005399) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 005399) |
| 163W00000X Registered Nurse (Licence: CT 095127) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-05 |