| NPI | 1487887378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004154) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 4154) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2021-01-10 |