| NPI | 1942300553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 2542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002542) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 002542) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2018-05-21 |