| NPI | 1518939461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002764) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 002764) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2013-01-21 |