| NPI | 1841688553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5941) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005941) |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2016-12-05 |