| NPI | 1952527087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 001511) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT E46742) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT E46742) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 001511) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-06-25 |