| NPI | 1982835823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003704) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303381) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2022-08-18 |