| NPI | 1386933216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335388) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2014-10-30 |