NPI | 1023226305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: CT 000427) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 000427) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2013-06-04 |