| NPI | 1669483939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 000900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 48708) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-02-09 |