| NPI | 1477527224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 000825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E54317) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2011-02-03 |