| NPI | 1518183102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003806) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 331377F) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2010-10-22 |