| NPI | 1720244056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R162413) |
| 163W00000X Registered Nurse (Licence: CT 086541) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2009-01-20 |