| NPI | 1588849137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 000081) |
| Additional Taxonomies | 163WX0106X Registered Nurse Occupational Health (Licence: CT E36180) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |