NPI | 1033755095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8637) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CT 8637) |
Enumeration Date | 2019-11-25 |
Last Update Date | 2021-11-11 |