| NPI | 1558797423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5526) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5529) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2014-09-17 |