| NPI | 1992210686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 007115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7115) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7115) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-02-20 |