| NPI | 1821307653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 004504) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT E34998) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2016-01-04 |