| NPI | 1396158226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 5735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 090372) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2021-07-23 |