NPI | 1114462751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6900) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CT 6900) |
363LF0000X Nurse Practitioner, Family (Licence: CT 6900) | |
Enumeration Date | 2017-01-05 |
Last Update Date | 2020-04-10 |