| NPI | 1649358342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 155473) |
| 163W00000X Registered Nurse (Licence: NY F303958) | |
| 363L00000X Nurse Practitioner (Licence: CT 8029) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303958) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-05-11 |