| NPI | 1487027678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 6422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 2015013345) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2018-07-30 |