NPI | 1114302569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 000000) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 000000) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2015-07-28 |