| NPI | 1740557149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005090) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CT E56416) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2012-09-11 |