| NPI | 1568406155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 002280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E40428) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-01-25 |