| NPI | 1588121495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8140) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CT 082668) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-05-15 |