| NPI | 1861561680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 001349) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 1349) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-02-05 |