| NPI | 1710455316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7827) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7827) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-02-13 |