| NPI | 1699814715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 002056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 2056) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2017-01-16 |