| NPI | 1689614638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 001428) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CT 001428) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-03-29 |