| NPI | 1871940205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 7935) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307642) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7935) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-11-12 |