| NPI | 1538391842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 4192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 86728) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2016-04-18 |