| NPI | 1427100478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 001488) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 001488) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 226170) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-03-07 |