| NPI | 1679591077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 1202) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CT 001202) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CT 001202) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-09-24 |