| NPI | 1588008007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E48583) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2018-03-23 |