| NPI | 1659457638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 002601) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 2601) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2021-08-09 |