| NPI | 1932213584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 001824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 001824) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-12-10 |