| NPI | 1760405906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 0000025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 000025) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-07-24 |