| NPI | 1861523755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 3068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003068) |
| 363L00000X Nurse Practitioner (Licence: CT 3068) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-11-15 |