| NPI | 1841847365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8407) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8407) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-09-04 |