| NPI | 1396852885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 003448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003448) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CO 0991579) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-03 |