| NPI | 1851796551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005962) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005962) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005962) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2018-05-21 |