| NPI | 1952756140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 6632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 086003) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2017-02-20 |