| NPI | 1699002618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 4991) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP 3421172) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 3421172) | |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2012-05-31 |