| NPI | 1497004402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5119) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005119) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 5119) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-02-22 |