| NPI | 1922336965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 087783) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN226241) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2012-04-16 |