| NPI | 1730477761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 4702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 82608) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2012-03-01 |