| NPI | 1841556016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 117537) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2017-12-05 |