| NPI | 1952383036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 001353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E40884) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2010-03-19 |