| NPI | 1871567537 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 001506) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E48342) | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 001506) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CT 001506) | |
| Enumeration Date | 2006-02-17 | 
| Last Update Date | 2010-03-03 |