| NPI | 1437330602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 003480) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 069164) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003480) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2022-04-15 |