| NPI | 1831230119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004438) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CT E56768) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 004438) | |
| 363L00000X Nurse Practitioner (Licence: CT 004438) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-06-27 |