| NPI | 1922044155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 2577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E58277) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-04-13 |