| NPI | 1821247271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 3923) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT F0708706) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 3923) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2014-07-25 |