| NPI | 1396881751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 001696) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CT 001696) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 001696) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-09-20 |