| NPI | 1760813745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 122919) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 034273) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2016-02-25 |