| NPI | 1760445100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 066408) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2016-08-11 |