| NPI | 1649712084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CT 4158) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CT 4158) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |