NPI | 1134677040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 6736) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6736) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |