| NPI | 1578879284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 4447) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CT E56543) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |