| NPI | 1982615258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CT 000695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 000695) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-04-26 |